| NPI | 1306024658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALYA VASERMAN Registered Professional Nurse 718-987-1156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |